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藥物交互作用

Amiodarone + Eliglustat

嚴重程度: 禁忌併用

Amiodarone and Eliglustat: contraindicated interaction.

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僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Eliglustat is metabolized by CYP2D6 and CYP3A4, and amiodarone inhibits CYP2D6 and to some degree CYP3A4 and P-gp. Eliglustat exposure rises and may prolong PR, QRS and QT intervals. Both drugs also affect cardiac conduction.

用白話說明這項交互作用的意義

Amiodarone and Eliglustat are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Amiodarone belongs to Cardiovascular; Eliglustat belongs to Miscellaneous.

證據等級: Moderate

為什麼會發生

Amiodarone inhibits CYP2D6 and CYP3A4, raising eliglustat levels, with additive conduction effects.

處置方式

Avoid the combination; labeling advises against eliglustat with class Ia and III antiarrhythmics. Use an alternative antiarrhythmic if eliglustat is needed.

可向藥師詢問的問題

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ 會員專屬

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  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription
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常見問題

Can I take Amiodarone with Eliglustat?

MediHelp rates the interaction as contraindicated. Amiodarone and Eliglustat are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Eliglustat is metabolized by CYP2D6 and CYP3A4, and amiodarone inhibits CYP2D6 and to some degree CYP3A4 and P-gp. Eliglustat exposure rises and may prolong PR, QRS and QT intervals. Both drugs also affect cardiac conduction.

How serious is the interaction between Amiodarone and Eliglustat?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; labeling advises against eliglustat with class Ia and III antiarrhythmics. Use an alternative antiarrhythmic if eliglustat is needed.

What other medicines interact with Amiodarone?

MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone page.

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